7864 Federal Register / Vol. 76, No. 29 / Friday, February 11, 2011 / Notices 

447.31; Form No.: CMS–R–21 (OMB#: 

0938–0287); Use: Section 2104 of the 

Omnibus Reconciliation Act of 1981 

(Pub. L. 97–35) provides CMS with the 

authority to withhold Federal Medicare 

payments to recover Medicaid 

overpayments that the Medicaid State 

Agency has been unable to recover. 

When the CMS Regional Office (RO) 

receives an overpayment case from a 

State Agency, the case file is examined 

to determine whether the conditions for 

withholding Medicare payments have 

been met. If the RO determines the case 

is appropriate for withholding Medicare 

payments, the RO will contact the 

institution’s intermediary or 

individual’s carrier to determine the 

amount of Medicare payments to which 

the entity would otherwise be entitled. 

The RO will then give notice to the 

intermediary/carrier to withhold the 

entity’s Medicare payment; Frequency: 

Occasionally; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 54; Total Annual 

Responses: 27; Total Annual Hours: 81. 

(For policy questions regarding this 

collection contact Rory Howe at 410– 

786–4878. For all other issues call 410– 

786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web site 

at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or 

e-mail your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office at 410–786– 

1326. 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by April 12, 2011: 

1. Electronically. You may submit 

your comments electronically to http:// 

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) accepting comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number, Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–3057 Filed 2–10–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–437, CMS–10358 

and CMS–10360] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the Agency’s function; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Extension of currently 

approved collection; Title of 

Information Collection: Psychiatric Unit 

Criteria Work Sheet and Supporting 

Regulations 412.25 and 412.27; Use: A 

limited number of hospitals and special 

hospital units are excluded from the 

Medicare Prospective Payment System 

(PPS) which determines Medicare 

payment for operating costs and capitalrelated costs of inpatient hospital 

services. 42 CFR 412.25 and 42 CFR 

412.27 describes the criteria under 

which these facilities are excluded. 

Excluded units are paid on the basis of 

reasonable costs subject to target rate 

ceilings (provided for by Section 

1886(b) of the Social Security Act). State 

survey agencies (SAs) are required to 

conduct initial onsite surveys of these 

units to verify that they continue to 

meet PPS-exclusion criteria. CMS 

proposes to continue to use the Criteria 

Worksheet, Forms CMS–437 for 

verifying first-time exclusions from the 

PPS, for complaint surveys, for its 

annual 5 percent validation sample, and 

for facility self-attestation. These forms 

are related to the survey and 

certification and Medicare approval of 

the PPS-excluded units; Form Number: 

CMS–437 (OMB#: 0938–0358); 

Frequency: Annually; Affected Public: 

Private sector businesses or other forprofits; Number of Respondents: 1,333; 

Total Annual Responses: 1,333; Total 

Annual Hours: 333. (For policy 

questions regarding this collection 

contact Kelley Leonette at 410–786– 

6664. For all other issues call 410–786– 

1326.) 

2. Type of Information Collection 

Request: New Collection; Title of 

Information Collection: MMIS APD 

Template for Use by States When 

Implementing the Mandatory National 

Correct Coding Initiative in Medicaid, 

SMD Letter #10–017 dated September 1, 

2010. Use; The Patient Protection and 

Affordable Care Act (Affordable Care 

Act) requires implementation of Section 

6507, Mandatory State Use of National 

Correct Coding Initiative. A State 

Medicaid Director letter, #10–017 dated 

September 1, 2010 was published with 

implementation requirements for 

provision 6507. Within this SMD letter, 

CMS states that a Medicaid Management 

Information System (MMIS) Advanced 

Planning Document (APD) template is 

required for States to request Federal 

financial participation (FFP) funding for 

implementing the provision and is also 

the tool for requesting deactivation of 

edits, due to direct conflicts with State 

laws, regulations, administrative rules, 

or payment policies. CMS has 

developed an MMIS–APD template 

specific to NCCI for State convenience. 

The MMIS APD template supporting 

implementation of the National Correct 

Coding Initiative in Medicaid will be 

submitted by States to the Regional 

Offices for review and to CMS Central 

Office for review and approval. The 

information requested on the MMIS 

APD template for NCCI will be used to 

determine and approve FFP to States. 

Form Number: CMS–10358 (OMB#: 

0938–New); Frequency: Occasionally; 

Affected Public: State, Local, or Tribal 

Governments; Number of Respondents: 

55; Total Annual Responses: 56; Total 

Annual Hours: 56. (For policy questions 

regarding this collection contact Richard 

Friedman at 410–786–4451. For all 

other issues call 410–786–1326.) 

3. Type of Information Collection 

Request: New collection; Title of 


jlentini on DSKJ8SOYB1PROD with NOTICES
Federal Register / Vol. 76, No. 29 / Friday, February 11, 2011 / Notices 7865 

Information Collection: Consumer 

Research on Public Reporting of 

Hospital Outpatient Measures; Use: One 

of the primary missions of CMS is to 

improve the quality and efficiency of 

care in the Fee-for-Service (FFS) 

program. One of the several vehicles 

used for this mission is the public 

reporting of quality, efficiency and cost 

information about hospital care on the 

Hospital Compare Web site. This 

vehicle also serves to provide Medicare 

beneficiaries and other consumers with 

the type of data needed to make 

informed decisions about which 

providers to use for their care. In 2001, 

the Department of Health and Human 

Services (DHHS) announced the Quality 

Initiative to ensure the quality of health 

care for all Americans through 

accountability and public disclosure. 

The goals of the initiative are to 

empower consumers with quality-ofcare information so they can make more 

informed decisions about their health 

care and to stimulate and support 

providers and clinicians to improve the 

quality of health care. As part of the 

DHHS Transparency Initiative on 

Quality Reporting, CMS plans to add 

new patient safety measures in the areas 

of hospital acquired conditions and 

healthcare associated infections, to the 

Hospital Compare Web site in 2011. 

CMS also intends to begin utilizing 

displays of composite measures 

summarizing both process and outcome 

measures. This information collection 

request covers consumer research on 

displays, labels, and explanatory 

language to insure that the website is 

understood by viewers in a manner 

consistent with CMS’s intended 

communication message. Form Number: 

CMS–10360 (OMB#: 0938–NEW); 

Frequency: Once; Affected Public: 

Individuals and Households; Number of 

Respondents: 248; Total Annual 

Responses: 248; Total Annual Hours: 

241. (For policy questions regarding this 

collection contact David Miranda at 

410–786–7819. For all other issues call 

410–786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS Web Site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received by the OMB desk officer at 

the address below, no later than 5 p.m. 

on March 14, 2011. OMB, Office of 

Information and Regulatory Affairs. 

Attention: CMS Desk Officer. Fax 

Number: (202) 395–6974. E-mail: 

OIRA_submission@omb.eop.gov. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2011–3056 Filed 2–10–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects 

Title: Head Start Program Information 

Report. 

OMB No. 0980–0017. 

Description: The Office of Head Start 

within the Administration for Children 

and Families, United States Department 

of Health and Human Services, is 

proposing to renew authority to collect 

information using the Head Start 

Program Information Report (PIR). The 

PIR provides information about Head 

Start and Early Head Start services 

received by the children and families 

enrolled in Head Start programs. The 

information collected in the PIR is used 

to inform the public about these 

programs and to make periodic reports 

to Congress about the status of children 

in Head Start programs as required by 

the Head Start Act. 

Respondents: Head Start and Early 

Head Start program grant recipients. 

Respondents: Head Start and Early 

Head Start program grant recipients. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of responses per 

respondent 

Average burden hours per 

response 

Total burden 

hours 

Head Start Program Information Report .......................................................... 2,690 1 4 10,760 

Estimated Total Annual Burden 

Hours: 10,760. 

In compliance with the requirements 

of Section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Administration for Children and 

Families is soliciting public comment 

on the specific aspects of the 

information collection described above. 

Copies of the proposed collection of 

information can be obtained and 

comments may be forwarded by writing 

to the Administration for Children and 

Families, Office of Information Services, 

370 L’Enfant Promenade, SW., 

Washington, DC 20447, Attn: ACF 

Reports Clearance Officer. All requests 

should be identified by the title of the 

information collection. 

The Department specifically requests 

comments on: (a) Whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; 

(c) the quality, utility, and clarity of the 

information to be collected; and 

(d) ways to minimize the burden of the 

collection of information on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

Consideration will be given to 

comments and suggestions submitted 

within 60 days of this publication. 

Bob Sargis, 

Reports Clearance Officer. 

[FR Doc. 2011–3060 Filed 2–10–11; 8:45 am] 

BILLING CODE 4184–01–P 


jlentini on DSKJ8SOYB1PROD with NOTICES